Organization
LOUIS BLASETTI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS SAMUEL BLASETTI JR. LCPC (OWNER/THERAPIST)
(443) 732-5609
Entity
Organization
Contact information
Practice address
3400 CHESTNUT AVE FL 2, BALTIMORE, MD 21211-2516
(443) 732-5609
Mailing address
212 S CONKLING ST, BALTIMORE, MD 21224-2413
(443) 854-0147
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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